Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENDRA BALLESTEROS, P.T.A.
ActiveKENDRA BALLESTEROS, P.T.A. is a Community Health Worker healthcare provider located in ST. LOUIS, Missouri. NPI 1386030138 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · ST. LOUIS, MO
Registration Details
- NPI Number
- 1386030138
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 8, 2015 (11.310462978804 yrs)
- Last Updated
- Apr 8, 2015
- License
-
2003029643 (MO)
Practice Information
- Address
-
11960 WESTLINE INDUSTRIAL DRIVE #201ST. LOUIS, MO, 631463209Browse MO providers · Browse ZIP 63146
- Phone
- 3148900480
- Primary Specialty
-
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.